Information Collection

Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)

IC 255258 under ICR 202109-0925-004 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 IRP Strategic Planning Survey Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)	Form
1 IRP Strategic Planning Survey NIMH IRP Strategic Planning Survey_08.08.22.pdf	Form
0925-0766_Mini SSA for NIMH IRP Strategic Planning Survey_08.08.22.docx Mini SSA for IRP Strategic Planning Survey	IC Document
NIH OD SurveyMonkey PIA (1).docx PIA	IC Document
0925-0766_Draft Email to Staff for NIMH IRP Strategic Planning Survey_08.08.22.docx draft email	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: #09-25-0156, âRecords of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service (PHS), HHS/PHS/NIH/OD

FR Citation: 67 FR 60742

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA for IRP Strategic Planning Survey		08/10/2022
PIA		08/10/2022
draft email		08/10/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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